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Endorsement No: 020/080/4/035787/2011

The Insured : Currency : Kenya Shillings


BENJAMIN K MUITA
Basic premium  30,137

Postal Address : P.O. BOX 31030 00600 Training Levy  60


NAIROBI PCF  75

Total Payable  30,273

Policy No: 020/080/1/083709/2011 Debit Note No: 1272455

Risk type : MOTOR COMMERCIAL

Period of Insurance : From 01-Feb-2008 To 31-Jan-2009


Its here by declared
Reg Mak owner Additional Premium
Kdb 345r Toyota Mr.Mogusu 34563
Kbn 567Y Nissan Mutua 23000
Kjn 567y premio

Signed for: INSURANCE COMPANY Of EAST AFRICA LIMITED

Manager

Account Period: 201102


Agency : ABOO INSURANCE BROKERS LIMITED Code: 03000045-030

Prepared By : EMUITA Date of Issue : 25-February-2011


Comm Rate :  10.00 Comm Amount :  3,013.70

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